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Are public sector managers a "bureaucratic burden"? The case of English public hospitals
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Veronesi, Gianluca, Kirkpatrick, Ian and Altanlar, Ali (2019) Are public sector managers a "bureaucratic burden"? The case of English public hospitals. Journal of Public Administration Research and Theory, 29 (2). pp. 193-209. doi:10.1093/jopart/muy072
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Official URL: https://doi.org/10.1093/jopart/muy072
Abstract
Although managers are, globally, a central part of the new public management reform agenda, in recent years policy makers, the media and the general public have raised concerns about their effectiveness and contribution. In some countries, notably the UK and the US, this debate has been heavily influenced by Public Choice Theory (PCT), which depicts ‘bureaucrats’ as rent seeking, self-serving individuals. In this study, focusing on the case of acute care hospital trusts in the English National Health Service, we formally test whether public sector managers represent a ‘bureaucratic burden’. Using a longitudinal database spanning six years (2007-2012) and employing a dynamic panel data model, the findings reveal that, contrary to PCT assumptions, managers do not engage, in the main, in rent seeking behaviour and, crucially, appear to have a positive impact on organisational performance. Implications for theory, policy and practice are discussed.
| Item Type: | Journal Article | ||||||||
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| Subjects: | R Medicine > RA Public aspects of medicine | ||||||||
| Divisions: | Faculty of Social Sciences > Warwick Business School > Entrepreneurship, Innovation & Management Faculty of Social Sciences > Warwick Business School |
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| Library of Congress Subject Headings (LCSH): | Hospitals -- Administration, Hospitals -- Business management, Great Britain. National Health Service | ||||||||
| Journal or Publication Title: | Journal of Public Administration Research and Theory | ||||||||
| Publisher: | Oxford University Press | ||||||||
| ISSN: | 1053-1858 | ||||||||
| Official Date: | April 2019 | ||||||||
| Dates: |
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| Volume: | 29 | ||||||||
| Number: | 2 | ||||||||
| Page Range: | pp. 193-209 | ||||||||
| DOI: | 10.1093/jopart/muy072 | ||||||||
| Status: | Peer Reviewed | ||||||||
| Publication Status: | Published | ||||||||
| Publisher Statement: | This is a pre-copyedited, author-produced version of an article accepted for publication in Journal of Public Administration Research and Theory following peer review. The version of record Gianluca Veronesi, Ian Kirkpatrick, Ali Altanlar; Are Public Sector Managers a “Bureaucratic Burden”? The Case of English Public Hospitals, Journal of Public Administration Research and Theory, , muy072, is available online at: https://doi.org/10.1093/jopart/muy072 | ||||||||
| Access rights to Published version: | Restricted or Subscription Access | ||||||||
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